Dr. Ashley Maxam, DMD
Dentist in Marion, IL. Individual provider (NPI-1).
NPI number1124259130
StatusActive
Last updated in NPPESOct 21, 2011
Details
- NPI
- 1124259130
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ashley Maxam
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2009
- Last updated
- Oct 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019-028085 | IL | Yes |
Practice location
1501 S Carbon StMarion, IL 62959-1435
Phone 618-997-7273 · Fax 618-997-8978
Mailing address
109 California StPo Box 577
Carterville, IL 62918-1923
Phone 618-985-8221 · Fax 618-985-6860
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All 9 Dentist providers in Marion · All 1,484 providers in Marion
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